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DEPARTMENT OF INSURANCE
Affiliations
Name
Eversports & Entertainment Insurance Inc
DOIID
807327
NAIC NPN
16924430
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
3/7/2014
1/3/2020
Pending Replacement
Non Resident
Agent
Health
3/7/2014
3/31/2025
Pending Replacement
Non Resident
Agent
Casualty
4/5/2013
3/31/2025
Pending Replacement
Non Resident
Agent
Property
4/5/2013
3/31/2025
Pending Replacement
Non Resident
Surplus Lines Broker
Not Applicable
4/9/2013
3/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
Surplus Lines Broker
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending Replacement
AXIS Insurance Company
301290
Agent - Health
8/22/2014
Pending Replacement
Everest Denali Insurance Company
941054
Agent - Casualty
2/18/2020
Pending Replacement
Everest Denali Insurance Company
941054
Agent - Property
2/18/2020
Pending Replacement
Everest National Insurance Company
301319
Agent - Casualty
6/13/2016
Pending Replacement
Everest National Insurance Company
301319
Agent - Property
6/13/2016
Pending Replacement
Everest Premier Insurance Company
941053
Agent - Casualty
2/18/2020
Pending Replacement
Everest Premier Insurance Company
941053
Agent - Property
2/18/2020
Pending Replacement
United States Fire Insurance Company
582240
Agent - Casualty
1/24/2014
Pending Replacement
United States Fire Insurance Company
582240
Agent - Property
1/24/2014
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Daily, Andrea Michele
1028165
Agent - Casualty
4/6/2022
Inactive
Daily, Andrea Michele
1028165
Agent - Health
4/6/2022
12/26/2024
Active
Daily, Andrea Michele
1028165
Agent - Property
4/6/2022
Inactive
Harris, David A
364917
Agent - Casualty
4/5/2013
1/3/2020
Inactive
Harris, David A
364917
Agent - Health
3/7/2014
1/3/2020
Inactive
Harris, David A
364917
Agent - Life
3/7/2014
1/3/2020
Inactive
Harris, David A
364917
Agent - Property
4/5/2013
1/3/2020
Inactive
Harris, David A
364917
Surplus Lines Broker - Not Applicable
4/9/2013
1/3/2020
Inactive
Holzinger, Jody Lynn
642575
Agent - Casualty
7/15/2014
1/8/2018
Inactive
Holzinger, Jody Lynn
642575
Agent - Health
4/20/2015
1/8/2018
Denied
Holzinger, Jody Lynn
642575
Agent - Life
Inactive
Holzinger, Jody Lynn
642575
Agent - Property
7/15/2014
1/8/2018
Denied
Landrum, Charles Thomas
563579
Agent - Casualty
Denied
Landrum, Charles Thomas
563579
Agent - Health
Denied
Landrum, Charles Thomas
563579
Agent - Property
Inactive
Landrum, Charles Thomas
563579
Surplus Lines Broker - Not Applicable
7/23/2014
3/22/2021
Active
Nikolai, David
633792
Agent - Casualty
12/18/2018
Denied
Nikolai, David
633792
Agent - Health
Denied
Nikolai, David
633792
Agent - Life
Active
Nikolai, David
633792
Agent - Property
12/18/2018
Active
Nikolai, David
633792
Surplus Lines Broker - Not Applicable
11/15/2019
Inactive
Peters, Marla Krull
632885
Agent - Casualty
5/4/2015
1/7/2016
Inactive
Peters, Marla Krull
632885
Agent - Health
1/7/2016
Inactive
Peters, Marla Krull
632885
Agent - Life
1/7/2016
Inactive
Peters, Marla Krull
632885
Agent - Property
5/4/2015
1/7/2016
Active
Pfefferkorn, Michael A
634062
Agent - Casualty
6/10/2016
Active
Pfefferkorn, Michael A
634062
Agent - Health
3/9/2016
Denied
Pfefferkorn, Michael A
634062
Agent - Life
Active
Pfefferkorn, Michael A
634062
Agent - Property
6/10/2016
Active
Robinson, Charles Lowery
806386
Agent - Casualty
8/4/2014
Active
Robinson, Charles Lowery
806386
Agent - Property
8/4/2014
Inactive
Wachenschwanz, Doreen A
507110
Agent - Casualty
5/14/2018
3/20/2019
Denied
Wachenschwanz, Doreen A
507110
Agent - Health
Inactive
Wachenschwanz, Doreen A
507110
Agent - Property
5/14/2018
3/20/2019
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